Active NPI
Pamela Rosann Cochran, LMHC
- Mental Health Counselor
- Port Charlotte, FL
National Provider Identifier
1497152953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH12361
- Practice address
- 3512 Depew Ave
Port Charlotte, FL 33952-7015 - Phone
- (941) 286-2861
- NPI assigned
- Nov 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MH12361 | FL | |
| Mental Health Counselor | 101YM0800X | MH12361 | FL | Primary |
Addresses
Primary practice location
3512 Depew Ave
Port Charlotte, FL 33952-7015
Mailing address
7731 SW Collins St
Arcadia, FL 34269-3402
Phone (941) 457-1371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH12361 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417132800000",
"number": "1497152953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7731 SW COLLINS ST",
"city": "ARCADIA",
"state": "FL",
"postal_code": "342693402",
"telephone_number": "941-457-1371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3512 DEPEW AVE",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339527015",
"telephone_number": "941-286-2861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "PAMELA",
"middle_name": "ROSANN",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-28",
"last_updated": "2014-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "MH12361",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH12361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.